The term vitreoretinal buckle generally refers to scleral buckling performed by vitreoretinal surgeons as part of retinal detachment repair. It may be combined with vitrectomy or used alone, depending on the case.
Combined Approaches
In some complex detachments, a buckle supports the peripheral retina while vitrectomy addresses internal traction and removes vitreous. This combination can improve reattachment rates in challenging situations.
- Choice of buckle type and placement is tailored to the pattern of retinal breaks
- Adjunctive laser or cryotherapy secures the retina around tears
- Gas or oil may be added internally when vitrectomy is performed
- Management is individualised by the retinal specialist
Outcomes
Vitreoretinal buckle techniques aim to maximise anatomic success and long‑term retinal stability. Visual results depend on macular status, coexisting disease, and timeliness of repair.
- Regular follow‑up monitors for recurrent detachment or buckle‑related issues
- Patients should watch for new floaters, flashes, or visual field defects
- Re‑operation is sometimes required in complex detachments
- Despite complexity, many patients achieve durable retinal reattachment
